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General NPI Number Information
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NPI Number | 1578440624
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Entity Type | Organization
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Legal Business Name | ONE HEALTH CENTERS INC
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Dates
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Enumeration Date | 08/20/2025
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 22711 GRAND RIVER AVE STE 2000
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City | DETROIT
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State | MI
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Zip | 48219-3113
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Country | US
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Telephone | 888-402-0202
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Fax | 888-860-2960
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Provider Business Mailing Address
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Address Line | 2020 CALAMOS CT FL 2
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City | NAPERVILLE
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State | IL
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Zip | 60563-3284
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AUTHORIZING OFFICIAL
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Name | AMMAR TANK
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Credential |
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Telephone | 248-730-1403
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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